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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1110
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4500 - Medical Waste Program
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PR0537019
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COMPLIANCE INFO
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Entry Properties
Last modified
7/11/2025 3:58:27 PM
Creation date
7/3/2020 10:22:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537019
PE
4532 - SM QUANITY GENERATOR
FACILITY_ID
FA0021255
FACILITY_NAME
BELLA TERRA DENTAL
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06037003
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4532_PR0537019_1110 W KETTLEMAN_.tif
Site Address
1110 W KETTLEMAN LN LODI 95240
Tags
EHD - Public
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MEDICAL WASTEOSPECTION REPORT 0 Date: 2 A <br /> San Joaquin County Environmental Health Department Program /W) S <br /> . 1868 E.Hazelton Ave.,Stockton,GA 95205 Record: <br /> (209)468-3420 Program vr? <br /> g<!Fo_`_1 www.siogv.org/ehd Element: TJJZ <br /> Observations and Corrective Actions: <br /> 24. Pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled. <br /> -Nonradioactive and non-RCRA pharmaceutical wastes, that are regulated as medical waste, shall be <br /> placed in a container or secondary contai labele h f�HIGH HEAT OR INCINERATION <br /> ONLY" on the lid and sides, so as to be visible from any lation. HSC 118275(a)(6)(B) The pharmaceutical waste <br /> container was not labeled "Incinerate Only or High Heat"on the lid and all lateral sides. The container was not labeled <br /> with the date the container was put in use. (This violation was corrected during the inspection) <br /> 19. For steam sterilization, the temperature does not reach 250 F for 30 minutes. Thermometer is not calibrated annually. <br /> - Recording or indicating thermometers shall be checked during each complete cycle to ensure the attainment of 250 F for at <br /> least 30 minutes. HSC118215(2)(B) <br /> -Thermometers, thermocouples, or other monitoring devices shall be checked for calibration annually. Records of the calibration <br /> checks shall be maintained as part of the facility's files and records for 2 years. HSC 118215(a)(2)(B). Calibrate the autoclave <br /> thermometer and submit evidence of calibration to the EHD by 3/8/19. Autoclave must not be used until calibration is <br /> done. This is a repeat violation. <br /> Notes: <br /> 1) The Medical Waste Management Plan was available for review along with training records for three employees for 2018, <br /> and two employees for 2017 and 2016. <br /> 2) Sharps Compliance's Yellow Dot mail-back program is used for sharps disposal and pharmaceutical waste disposal. <br /> The waste is consolidated in a single container with a biohazardous waste symbol and "Incinerate Only" on all sides and <br /> the lid (Corrected during inspection). <br /> 3) Treatment records are available for review from 5/12 to current. <br /> 4) The biohazardous waste bags in use meet both the ASTM D1709 and D1922 standards. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br /> �r <br />
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